Colon Cancer: Reducing Your Risk

Tuesday, March 25, 2014 12:46 PM comments (0)

Reducing riskThere are many risk factors for colon cancer that are beyond your control—being over the age of 50, family history of colorectal cancer, personal history of polyps, inflammatory intestinal conditions like Crohn’s disease or ulcerative colitis. There are, however, risk factors you can mitigate by making some simple and some not-so-simple changes to your lifestyle. 

Susannah Spiess, MD, Gastroenterologist at NorthShore, encourages everyone to make these healthy lifestyle changes to help lower the risk for colon cancer: 

Eat a high-fiber, low-fat diet. Studies have shown that diets high in fat and lower in fiber may increase your risk for developing colon cancer. These same studies also indicate an increased risk for those who consume large quantities of red meat regularly. Shift the focus of your diet away from meat, particularly red meat, and give fresh fruits, vegetables and whole grains top billing on your plate.

Get up and move. This doesn’t just mean 30 minutes of exercise a day. Get up and move throughout the day. An inactive, sedentary lifestyle can increase your risk of developing colon cancer. If you spend most of your day sitting behind a desk, stand up and move every 20 minutes or whenever possible. 

Lose weight. Changing your diet and increasing your activity level will work wonders on your waistline as well. Obesity significantly increases one’s risk for not only developing colon cancer but also dying from the disease if diagnosed.

Break the habit. It’s a terribly unhealthy habit. Smoking increases your risk for a number of serious health issues, from lung cancer and heart disease to stroke and, you guessed it, colon cancer. The time to break the habit is now.

Cut back. The excessive consumption of alcohol raises your risk for several types of cancers, including cancer of the colon and rectum. Monitor your daily and weekly consumption of alcohol and ensure that it is no more than 14 units of alcohol per week and no more than three in any single day. 

Get a colonoscopy. While adopting these lifestyle changes could reduce one’s risk for colon cancer, screening colonoscopy is the only proven method of preventing the disease.

Have you made an appointment to get your first colonoscopy? Find out more here

Dispelling the Myths of the Colonoscopy

Thursday, March 20, 2014 3:24 PM comments (0)

colonoscopyColon cancer is the second leading cause of cancer death in the United States, claiming nearly 29,000 men and women each year. It is surpassed only by lung cancer. Colon cancer also happens to be one of the most preventable cancers. Studies have shown that a colonoscopy can reduce the risk of developing and dying from colorectal cancer by 90%. A colonscopy can enable a physician to identify and remove polyps before they even become malignant. 

David Labowitz, DO, MPH, Gastroenterology at NorthShore, addresses some of the damaging myths about colonoscopy that discourage many from getting this lifesaving procedure when they should:

Myth #1: The “prep work” is terrible.
You do have to empty your colon before a colonoscopy. This is the hardest part of the exam, but the most important.  I always tell patients that without a good prep, it’s like driving through fog—you cannot see where you are going.  However, the prep does not have to be a terrible experience. The day before the procedure, you should stop eating solid food and consume only clear liquids; however, you can have more than just water. Incorporating variety—tea, Jell-O, sports drinks and broth—into your 24-hour clear liquid diet will help make it more bearable.

The most common complaint is the volume of colonoscopy prep electrolyte solution that must be consumed to clear the bowels. To make this easier, we actually split the drinking of the prep into two different time periods (the evening before and a couple of hours before the procedure).  This not only is an easier way for patients to accomplish the prep, but has been shown in national studies to be a better way to prep for the procedure.  Think about the prep this way: the cleaner your colon, the faster and easier the procedure the next day. Unfortunately, if your colon isn’t clear because you have failed to drink the solution, polyps and lesions could go undetected or the results could be inconclusive. Further, the procedure may need to be repeated. It’s all about doing it right the first time.

Expert Tips! Make the Prep a Little Easier 

  • Drink it all at once, as quickly as possible through a straw
  • Refrigerate it so it's nearly ice cold
  • Suck on a piece of hard candy or chew a piece of gum immediately after drinking the solution
  • Mix the solution with something like Crystal Light

Myth #2: The procedure is painful.
A colonoscopy is a very tolerable procedure. Further, it does not take very long and most of the time is completed within 20-30 minutes. Before the procedure begins, you will be given a sedative to help you relax. In fact, most patients will sleep through the entire procedure and wake up not remembering any of it. Those who remain awake during the procedure report nothing more than slight cramping or pressure in the abdomen, similar to the feeling of having a bowel movement. 

Myth #3: It’s embarrassing.
Our NorthShore gastroenterologists perform over 35,000 GI procedures each year—the majority being colonoscopies—so they have a lot of experience making sure patients are as comfortable with the process as possible. Patients can also make an appointment with their gastroenterologist before the procedure to meet face to face and ask any questions that will help them feel more comfortable. 

Myth #4: There is a high risk of complications.
Complications during or after a colonoscopy are very rare. The bottom line is your risk of developing colon cancer is far higher than your risk of suffering a complication due to a colonoscopy. It is, however, important to schedule your colonoscopy with a physician who is certified to perform this procedure. 

Myth #5: Colonoscopies aren’t necessary for women.
Colorectal cancer affects men and women in nearly equal numbers. It’s not a man’s disease; therefore, screening colonoscopies are for everyone. Women need to schedule their first screening colonoscopy starting at age 50, just like men. More than 90% of colorectal cancer is diagnosed in people who are 50 or older. Those with a family history of the disease and other risk factors—a history of inflammatory bowel disease (IBD), history of polyps, type 2 diabetes, obesity and smoking—might need to start screening early and undergo screening more often. Ask your doctor when you should begin screening.

For more information on colonoscopies and to make an appointment, click here

Colorectal Cancer – Early Screening Can Save Lives

Tuesday, March 26, 2013 9:30 AM comments (0)

colon cancerColorectal cancer is one of the leading causes of cancer deaths in both men and women in the United States. However, if everyone over the age of 50 were regularly screened, it might be possible to reduce deaths associated with colorectal cancer by as much as 60 percent.

Many women believe that colorectal cancer is a disease that affects more men than women, so they might not be aware of or believe they need to follow current screening recommendations. National Colorectal Cancer Awareness Month this March is the right time to spread the word that colorectal cancer affects men and women equally and that screening saves lives.

Joel Retsky, MD, Gastroenterologist, shares some important information about colorectal cancer everyone should know, men and women:

  • Your risk increases with age. More than 90% of colorectal cancer cases occur in those who are 50 or older. Everyone over the age of 50 should follow national screening guidelines and continue screening at regular intervals at least until 75 years of age.
  • You should not wait for symptoms. Colorectal cancer rarely causes noticeable symptoms in the early stages. Symptoms of colorectal cancer—bleeding from the rectum, change in bowel habits, noticeable weight loss—often do not appear until the cancer is advanced and more difficult to treat. Most colorectal cancers come from polyps, or abnormal masses, that grow in the inner lining of the large intestine. With screening, polyps can be removed before they even become cancerous.
  • Family history is important. If you have a family history of colorectal cancer, you may need to begin screening earlier, perhaps at 40 or even younger. You will also need to be screened more frequently than currently recommended by the national guidelines. 
  • Personal history is important. Some studies have shown that women who have had ovarian, uterine or breast cancer have a higher-than-average chance of developing colorectal cancer. Crohn’s disease and ulcerative colitis are also risk factors. Talk to your physician about how these risk factors might affect the frequency of your screenings.
  • There are several screening options. There are many tests for colorectal cancer, including fecal occult blood test (FOBT), sigmoidoscopy, colonoscopy, virtual colonoscopy and barium enema. Colonoscopy is the most effective test for colon cancer screening. Talk to your physician about which screening option is best for you.


If you’re 50 or over and have never been screened for colorectal cancer, make National Colorectal Cancer Awareness Month the month you schedule your first appointment.


Have you been screened for colorectal cancer?

Go Green: Your Colon (and Body) Will Thank You

Wednesday, March 06, 2013 1:52 PM comments (0)


ColonCancerAs the old adage goes, “You are what you eat.” When it comes to your health, this saying is true — eating healthier foods will make you feel better, have more energy and help you maintain your weight.

Many of the foods we eat—as tasty as they are—aren’t always the easiest for our system to digest. This is true for highly processed foods, and foods high in sodium, sugar, saturated fats and cholesterol. It’s not to say that, in moderation, we can’t enjoy some of these foods, but research has proven that a diet high in fresh food, especially green vegetables, may help prevent colon cancer.

Considering colon cancer is one of the most common cancers in men and women, it’s nice to know that a balanced, healthy diet may be the first step toward disease prevention. Yolandra Johnson, MD, Gastroenterologist at NorthShore, provides easy ways to work more greens and other vegetables into your daily diet:

  • Add chopped vegetables to your pasta sauces. Add chopped or shredded zucchini, carrot, peas, spinach or eggplant into either homemade or store-bought sauces. You’ll be adding extra flavor and more nutrients.
  • Blend it up. Smoothies don’t have to be made with only fruit. Consider mixing a more savory blend by adding in vegetables. Spinach is a great addition to fruit smoothies.
  • Eat a side salad with lunch or dinner. A salad is a great way to get an extra serving of vegetables, plus it will help fill you up before the main course. That’s good for your diet and for your waistline!
  • Choose ready-made options if you’re short on time. Canned and frozen vegetables can be just as nutritious as fresh ones. If you have limited time to prepare meals, go for prepared salads,  pre-chopped veggies, canned goods or frozen items. Remember, there’s no wrong way to add vegetables to your diet.
  • Snack on fresh vegetables instead of chips and other junk foods. Cucumbers, peapods, carrots, peppers and celery all make great snack items. Prepare small bags of these veggies for the week so they’re easy to grab and go.

What are some of your favorite dishes that include vegetables? What are some of your tricks for including veggies in your diet?

 

Colon Cancer Prevention: Screening is Key

Thursday, March 01, 2012 8:41 AM comments (0)

Colon Cancer ScreeningColon cancer is one of the most preventable cancers in the United States—nearly 90% preventable with colonoscopy. Despite this, it is the second leading cause of cancer death, affecting more than 29,000 men and women in this country each year.

NorthShore Gastroenterologist, Monica Borkar, MD,  provides a list of risk factors that affect the development of colon polyps—and thereby, colon cancer—including:

Colon cancer starts as a polyp, or growth, in the colon.  These polyps grow slowly over many years, and larger ones are more likely to be dangerous.

In most cases people do not have symptoms, although common symptoms of colon cancer include:

  • Change in bowel habits
  • Unintentional weight loss
  • Weakness
  • Abdominal pain
  • Blood in the stool
  • Age  - Most people who develop colon cancer and colon polyps are over 50 years old.
  • Genetics - A family history of colon cancer imparts a greater risk of developing polyps and cancer; people are usually screened earlier than 50 and are advised to return at shorter intervals if colon cancer has affected someone in their immediate family.
  • Diet - A diet high in red meat and low in dietary fiber may lead to colon cancer development.
  • Exercise - A sedentary lifestyle may be associated with colon cancer so exercise at least one hour three times per week.
  • Personal history of colon polyps - Individuals who have a history of colon polyps are more likely to develop them in the future.
  • Personal history of colon, endometrial, breast or uterine cancer.
  • Certain genetic conditions - Specific types of colitis or inherited diseases can make colon cancer more likely.

National guidelines recommend that individuals with a lack of the risk factors listed above undergo colonoscopy at age 50. Colonoscopy for colon cancer screening—a 20-minute procedure—is the most important test to check for polyps and cancer, even before symptoms arise, and leads to prompt diagnosis and treatment with an excellent survival rate.

Are you surprised by any of the risk factors listed above?

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